Barry Dean Bertolet, MD
Individual provider Active NPI Cardiovascular Disease Physician · Tupelo, MS
NPI 1295845444 · NPPES record last updated Aug 2, 2013
Key facts
- NPI
- 1295845444
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 11333 (MS)
- Practice address
- 499 Gloster Creek Village a-2
Cardiology Associates of N. Ms, PA
Tupelo, MS 38801 - Phone
- (662) 620-6800
- Fax
- (662) 620-6950
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 4
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- University of Mississippi School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Mississippi Clinics LLC
Practice addresses (Care Compare)
499 Gloster Creek VLG
Suite A2
Tupelo, MS 38801-4749
Phone (662) 620-6800
Hospital & facility affiliations
- North Mississippi Medical Center
- Clay County Medical Corporation
- North Mississippi Medical Center-Gilmore Amory
- Magnolia Regional Health Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 37 |
| Leg revascularization (restoring blood flow) | 22 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| North Ms Medical Center |
Hospital | Corporate Director | Oct 1, 2021 |
| North Ms Med Psych Unit |
Hospital | Corporate Director | Oct 1, 2021 |
| North Ms Med Rehab Unit |
Hospital | Corporate Director | Oct 1, 2021 |
| North Ms Medical Center Home Health Agency |
Home health agency | Corporate Director | Oct 1, 2021 |
| North Ms Medical Center Hospice |
Hospice | Corporate Officer | Oct 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071205000048 | MS | Practitioner - Interventional Cardiology |
0042309643 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11333 | MS | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Clinics LLC | Cardiovascular Disease | Current |
Accepting new patients |
| Cardiology Associates of North Ms PA | Cardiovascular Disease | Current |
Accepting new patients |
| North Mississippi Medical Center Services LLC | Current | Accepting new patients | |
| North Mississippi Clinics LLC | Cardiovascular Disease | Current | Accepting new patients |
| North Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Clinics LLC | Cardiovascular Disease | Current |
Accepting new patients |
| North Mississippi Medical Center Services LLC | Current |
Accepting new patients | |
| North Mississippi Medical Center, Inc. | Past | Accepting new patients | |
| Amory Surgery Clinic, PLLC | Past | Accepting new patients | |
| Webster Health Services, Inc. | Past | Accepting new patients |
Locations
2459 5th St N
Columbus, MS 39705
Phone (662) 327-3092
3302 W Linden St
Corinth, MS 38834
Phone (662) 286-6068
616 Alcorn Dr
Corinth, MS 38834
Phone (662) 286-0206
2892 S Lamar Blvd
Oxford, MS 38655
Phone (662) 234-7441
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
499 Gloster Creek Vlg
Ste A2
Tupelo, MS 38801
Phone (662) 620-6800
830 S Gloster St
Fl 3
Tupelo, MS 38801
Phone (662) 377-7170
Interoperability endpoints
- barrybertolet@nmhs.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 11333 | MS | Yes |
| Interventional Cardiology Physician | 207RI0011X | 11333 | MS |
Addresses
Primary practice location
499 Gloster Creek Village a-2
Cardiology Associates of N. Ms, PA
Tupelo, MS 38801
Mailing address
499 Gloster Creek VLG Ste A2
Cardiology Associates of N. Ms, PA
Tupelo, MS 38801-4749
Phone (662) 620-6800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0118728 | Medicaid | MS |
Other providers in Tupelo, MS
- Tami Berrios
- Berry NP Services
- James Montgomery Berry
- Stella Ruth Berry
- Leah Berryhill
- Beth a. Shelton D.M.D., PA
- Better Version Intellective Healthcare Inc
- Betteryou Counseling and Consultant, LLC
- Carl Gorman Bevering
- Ruth Bibeau
All providers in Tupelo, MS · Cardiovascular Disease Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.